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RevisedSeptember2018Consortium Agreement, page 1

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CONSOR

2020-2021 CONSORTIUM AGREEMENT

This Consortium Agreement must be completed in order for a student to receive federal

financial aid to attend two separate institutions. Please read the following instructions

carefully and complete the form on the second page.

 The Consortium Agreement form must be completed and returned to the TCC Financial Aid Office by

the first week of school each semester. This will allow the Financial Aid Office the appropriate time

to make adjustments to your aid package before funds are disbursed.

 Be sure to find out when payment of tuition is due at the Host Institution. This Consortium

Agreement does not delay payment of tuition at the Host Institution. You will be responsible for

payment of tuition and all costs incurred at the Host institution by the deadline established at that

institution even if your funds have not been disbursed by TCC.

 The Host Institution will fax or mail the consortium agreement upon completion of STEP 2. However,

it is your responsibility to make sure that the form has been received by the TCC Financial Aid Office.

 You must provide a current copy of your grade(s) from the Host Institution to the TCC Financial Aid

Office upon completion of each course.

 You must notify the TCC Financial Aid Office of any changes to your enrollment at the Host

Institution.

 It is a requirement that the coursework you take at the host institution be applicable to the degree

you are pursuing at TCC. Please check with your TCC academic advisor to make sure your course(s)

will transfer for credit toward your degree at TCC. Please have your TCC Academic Advisor approve

and sign this consortium agreement.

 You must be enrolled in at least six hours per semester at TCC in order to receive aid from TCC

through a Consortium Agreement. If another school will act as the home school, then TCC defers

enrollment standards to the other school – please use the Consortium Agreement provided by your

home school instead of this form.

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SectionA:to be Completed by the Student—in this section, please indicate the alternate school you will be

attending and the number of credit hours you expect to take at that school. Also provide a copy of the class

schedule and a brief explanation of why you will be attending the alternate institution instead of pursuing all

of your coursework through Tulsa Community College.

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SectionB:to be Completed by a TCC Academic Advisor— the TCC Academic Advisor must review and

determine that the course(s) are fully transferable towards your TCC Degree.

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SectionC:

to be Completed by the Host Institution— you will need to have this section certified by the

Financial Aid Office at the host institution you will be attending. That institution must certify that you will not

be receiving financial aid or any outside funding to attend that school. After completing this section, the host

school’s Financial Aid Office should return the Consortium Agreement to the TCC Financial Aid Office.

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SectionD:to be Completed by the Home Institution—Tulsa Community College Financial Aid Office will

complete this section of the form pending the approval of your consortium agreement.

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RevisedSeptember2018Consortium Agreement, page 2

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CONSOR

CONSORTIUM AGREEMENT

According to federal regulations, a Consortium Agreement must exist before a home institution can process an application

for federal funds for students attending another institution. Therefore, the two institutions named below hereby enter

into an agreement for:

_________________________________________________________________________________________________________

SECTIONA (to be completed by student)

STUDENTNAME:____________________________________________________________________________________ TCCCWID:_____________________________________

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HOMEINSTITUTION:TulsaCommunityCollege

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HOSTINSTITUTION

: ________________________________________________________________________________________________________

I am taking course work at the host institution for the following reason: _________________________________________________________________________

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COURSE(S) To be Taken at Host Institution: _________________________________________________________________________________________________________

 Student must attach a course schedule and a billing statement from the host institution

IamrequestingaConsortiumAgreementforthefollowingsemester:(chooseONLYone)

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FALL/2020  SPRING/2021  SUMMER/2021

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I will be taking ______________ credit hours through TCC while taking _______________ credit hours through the host institution.

I understand I can only receive financial aid from one institution— Tulsa Community College. I also understand that if I drop credit hours

or withdraw completely during the term specified, I may be required to repay financial aid (including student loans) disbursed through

TCC. I will provide a current copy of my grade(s) from the Host Institution to the TCC financial aid office upon completion of each course.

IunderstandTCCwillonlyapproveConsortiumAgreementsifthestudentisenrolledinTCCat

leasthalf‐time.

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StudentSignatu re:__________________________________________________________________________________________ Date:____________________________

_________________________________________________________________________________________________________

SECTIONB (to Be Completed by TCC Academic Advisor)

The TCC Academic Advisor must review the course(s) listed and determine that the course(s) are transferable towards your TCC degree.

CoursesTransferrable: ________________________________________________________________________________________________________________________________

AcademicAdvisor’sName: __________________________________________ Signature: ____________________________________ Date: ______________________

_________________________________________________________________________________________________________

SECTIONC(to Be Completed by Host Institution)

CERTIFICATION: The Host Institution agrees NOT to provide federal funds to the above-mentioned student for the term specified.

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Signatureforthe

HostInstitution:________________________________________________________________Title:_________________________________Date:___________________

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_________________________________________________________________________________________________________________________ ________________________________

NameofInstitutionAddress    PhoneNumber

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Pleasereturnthisformto:  TULSA COMMUNITY COLLEGE (FAX) 918-595-7366

Financial Aid Office

909 S. Boston

Tulsa, OK 74119

_________________________________________________________________________________________________________

SECTIOND(to Be Completed by Home Institution Financial Aid Officer)

HOMEINSTITUTIONFINANCIALAIDOFFICECERTIFICATION: Tulsa Community College agrees to provide payment(s) to the above-

named student, if eligible, under the appropriate Federal and State programs for the specified term mentioned above.

TCCStaffSignat ure:_______________________________________________________________________________________Date:___________________________________

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